Miles Psychological Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

LP5676 Issued in MN

Legal business name

MILES PSYCHOLOGICAL SERVICES, LLC

Practice address

606 25TH Ave S
Suite 105
Saint Cloud, MN 56301-4810

Phone

(320) 247-4737

Fax

(320) 365-0080

NPI assigned

Aug 26, 2015

Last updated

Aug 26, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vincent Miles, PSYD LPNPI 1912255449

Title

Licensed Psychologist

Phone

(320) 247-4737

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vincent Miles, PSY.D. LP

  • Clinical Psychologist
  • Saint Cloud, MN
  • NPI 1912255449
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1548637507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 25TH AVE S",
            "address_2": "SUITE 105",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014810",
            "telephone_number": "320-247-4737",
            "fax_number": "320-365-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 25TH AVE S",
            "address_2": "SUITE 105",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014810",
            "telephone_number": "320-247-4737",
            "fax_number": "320-365-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "13202474737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD LP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "LP5676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Vision Centers Inc (Midwest Vision Centers)
• Bryce Mieczkowski, D.O.
• Jeffrey M Mies, DC
• Sidney Rose Milbrandt
• Kathryn Marie Milczark, RN
• Emily Sutton Miles
• Vincent Miles, PSY.D. LP
• Milestone Counseling Inc.
• John P Miley, LAC
• Allison M Miller

• Mental Health Clinic/Center (Including Community Mental Health Center) in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.